Close to Home Senior Care III

Type of visit: Required - 1 Year

On today's date January 26,2026 Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry by facility staff. LPA Vanegas explained the purpose of the visit, and Administrator (AD) Maricar Parnell was advised and arrived to assist with the inspection. LPA Vanegas began a tour of the facility and observed the following. This is a one storied house with six bedrooms one of which is a caregiver room, and two bathrooms used for residents and a two car detached garage. LPA Vanegas observed kitchen area to be clean and free of debris and observed a gas stove, microwave, refrigerator, and dishwasher that tested operational. LPA Vanegas observed a two day supply of perishable food, and a seven day supply of non-perishable food along with a sufficient amount of emergency water, in an instance of a natural disaster. LPA Vanegas observed resident restrooms to be clean and free of debris and had all the proper furnishings such as grab bars, slip resistant floor matts, and a shower chair. Toilet and water faucets tested functional and water tested between 111.2 and 114.3 degrees. LPA Vanegas observerd fire extinguisher to be fully charged and up to date. LPA Vanegas observed all smoke detectors and carbon monoxide detectors to be operational. LPA Vanegas observed washer and dryer to be operational and in good repair and all toxins were locked away and inaccessible to residents in care. CONTINUED ON LIC809C LPA Vanegas toured the backyard of the facility and observed a shaded seating area, and enough space for residents to participate in outdoor activities upon their request. LPA Vanegas observed no obstructions or hazards along emergency exit route. Side doors are self latching and unlocked. LPA Vanegas toured the garage and observed organized and clean personal items belonging to caregivers and licensee. LPA Vanegas reviewed one resident file and residents file had all required documents. LPA Vanegas reviewed three staff files and observed all staff files to have the required documentation filed and the required annual training completed. LPA Vanegas observed medications, toxins, and sharps to be locked away and inaccessible to client in care. LPA Vanegas reviewed medications and medication administration record. Per LPA Vanegas review there were no discrepancies, and medications are being administered per physicians orders. LPA Vanegas observed emergency disaster plan it was filled out, up to date and reviewed by facility staff. LPA Vanegas observed infection control plan to be up to date and recently reviewed. LPA Vanegas observed all required postings to be posted and in the correct dimensions. LPA Vanegas observed first aid kit and it consisted of all the required equipment including adhesive tape, scissors, a thermometer, bandages and a first aid manual. Based on the observations made during today’s inspection, deficiencies are not being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Maricar Parnell, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jan 26, 2026

Type of visit: Required - 1 Year

On 01/09/2025 Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry by Care Giver (CG) Charito De Ocampo. LPA Vanegas explained the purpose of the visit, and was advised that administrator would arrive shortly. LPA Vanegas began a tour of the facility and observed the following. This is a one storied home with six bedrooms one of which is a caregiver room, and two bathrooms used for residents and a two car detached garage. LPA Vanegas observed kitchen area to be clean and free of debris and observed a gas stove, microwave, refrigerator, and dishwasher that were all operational and in good repair. LPA Vanegas observed a two day supply of perishable food, and a seven day supply of non-perishable food along with a sufficient amount of emergency water. LPA Vanegas observed resident restrooms to be clean and free of debris and contained all the proper furnishings such as grab bars, slip resistant matts, and a shower chair. Toilet and water faucets tested functional and water tested between 117.2-118.4 degrees. LPA Vanegas observerd fire extinguisher to be fully charged and up to date. LPA Vanegas observed all smoke detectors and carbon monoxide detectors to be operational. LPA Vanegas observed washer and dryer to be operational and in good repair and all detergents were locked away and inaccessible to residents in care. LPA Vanegas toured the backyard of the facility and observed a seated shaded area, and enough space for residents to participate in outdoor activities upon their request. LPA Vanegas observed no obstructions along emergency exit route, and side doors are self latching and unlocked. LPA Vanegas toured the garage and observed organized and clean personal items belonging to caregivers and licensee. CONTINUED ON LIC809C LPA Vanegas reviewed four resident files and observed the following. Three of four resident files had all the required documentation however one of the four files did not have a signed consent form for emergency medical attention. Licensee was able to contact responsible party and obtain signed consent form before LPA Vanegas ended the visit. A technical advisory was issued on today's date. LPA Vanegas reviewed two staff files and observed all staff files to have the required documentation filed and the required annual training completed. LPA Vanegas observed medications to be locked away and inaccessible to clients in care. LPA Vanegas reviewed medications and observed medications being documented and being administered to clients in care per physicians orders. LPA Vanegas interviewed one client in care who was coherent and verbal. LPA Vanegas interviewed one staff on duty. LPA Vanegas observed emergency disaster plan to be filled out and up to date and reviewed, LPA Vanegas observed infection control plan to be up to date and reviewed. LPA Vanegas observed all required postings to be posted and in the correct dimensions. LPA Vanegas observed first aid kit and it consisted of all the required equipment including adhesive tape, scissors, a thermometer, and bandages. Based on the observations made during today’s inspection, deficiencies are not being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jan 9, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On May 20, 2024 at 8:45am, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Administrators (AD) Maricar Parnell and Gregory Parnell and explained the purpose of the visit. The facility is licensed to operate for six (6) non-ambulatory and has a hospice waiver for four (4) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, living area, dining area, kitchen, and outside covered patio area. LPA Kim toured inside and outside of the physical plant with AD Parnell. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each client’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. . All bedrooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, Resident Room 4, Resident Room 5 and Staff Room 1. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 112,2 degrees F. A comfortable temperature of 70 degrees F was maintained in the facility. LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is a two day supply of perishable and seven day supply of non-perishable food available and maintained properly. The facility has fire extinguisher that is charged, smoke detectors, and carbon monoxide were operable. A working telephone (714-660-6101) remains available. First Aid Kit contained all the necessary elements. Evaluation Report Continues on LIC 809-C During the visit, LPA Kim observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and clients, and sanitizing stations. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Kim conducted an audit of residents #1--resident #4 service files, and staff #1- staff #2 personnel files. All files were in order and complete. LPA conducted two (2) staff interviews. All residents were asleep or could not communicate for resident interviews. Technical Violation was assessed for this visit. An exit interview was conducted, and a copy of this report was provided to the Administrators,the state’s words, verbatim · CDSS document, May 20, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.